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We need to talk about amputation – a difficult conversation in the developing world

What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...

How I Do It - Er:YAG treatment for eyebrow tail elevation and upper eyelid rejuvenation

Following patient demand for eyebrow tail elevation inspired by the ‘Foxy eye’ trend, we have developed this protocol using the Fotona VectorLift technique with hyperstacking of Smooth Mode pulses, to produce a non-invasive enhancement of periocular aesthetics for patients who...

Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

Meet Quiet Blue – a comprehensive approach to holistic care for patients

Quiet Blue are a functional fragrance wellbeing brand, using clinical Aromatherapy blends for their purposeful candles, reed diffusers and artisanal soaps that...

The applications of mesotherapy in aesthetic medicine

Mesotherapy is a modern form of therapy that consists of injecting medicines, vitamins and minerals as close as possible to the area that needs treatment. It is an astonishingly effective technique in aesthetic medicine as it treats layers of the...

Perceptions and deceptions a personal blog by the editor 27 June 2016

I left the last blog with the statement that Zoey had been unlawfully killed. That is a pretty bold statement to make when the legal verdict is death by misadventure. But that was not a verdict based on validated evidence....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

Hair Transplantation, Sixth Edition

The sixth edition of Hair Transplantation, edited by renowned surgeons Robin Unger and Ronald Shapiro, is a comprehensive and authoritative guide to cutting-edge hair restoration techniques. With contributions from global experts, this edition builds on its longstanding reputation as a...

Polydioxanone thread-lifting

A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with...

Classical facelift: a modern British perspective

It is clearly impossible to outline the whole of this subject matter in a short editorial article; many theses have been written in this field. This article is designed to give an overview to those reasonably familiar with this area...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...